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Guideline: In type 2 diabetes, ACP recommends metformin monotherapy if drugs are needed for glycemic control. Ann Intern Med. 2017 Apr 18;166(8):JC39. doi: 10.7326/ACPJC-2017-166-8-039.  >>>>


 Inclusion of Hypoglycemia in Clinical Practice Guidelines and Performance Measures in the Care of Patients with Diabetes. Status: Accepted JAMA Int MedPub Ahead of Print Sep 2016.  >>>>


Existing evidence is insufficient to justify metformin or other agents as first-line therapy for type 2 diabetes.Evid Based Med.2016 Dec;21(6):224  >>>>


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Shared Decision Making in Endocrinology. Present and Future Directions. Lancet Diabetes Endocrinol. 2016 Feb 22. pii: S2213-8587(15)00468-4. doi: 10.1016/S2213-8587(15)00468-4.  >>>>


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  1. Evidence doesn’t support tight glycemic control

  1. Tight Focus on Blood Sugar Narrows Options for Diabetes Complications

  1. Tight glycemic control benefits questionable for microvascular, macrovascular complications

  1. Too Much Focus on Tight A1C Control May Be Misguided in Diabetes Care, Mayo Clinic Study Finds